North Coast PHN is working collaboratively with the Mid North Coast and Northern NSW LHDs, residential aged care facilities and community aged care providers to ensure a coordinated response to COVID-19. Regular virtual region-wide meetings are being held and an online resource library has been created on Basecamp to support collaboration and networking across services.
NCPHN has supported both LHDs RACF planning activities through undertaking extensive planning surveys. Of note are the small number of RACFs with only RN on call coverage over night and limited GP coverage in some facilities. Other activities include supporting services that are requiring support with infection prevention and control practices. Modelling of pathways for older people during COVID-19 is in its early stages and will result in broad collaboration with LHDs and the aged care sector to provide clarity of local supports for older people during COVID-19.
Extensive planning and preparations are underway in facilities. Visitor changes with no more than two visitors at once are being enacted with many facilities stepping this up to a semi lockdown approach with only health professionals able to enter facilities. Consideration is being provided for families of residents who are terminal and/or palliative.
Families are being encouraged to communicate through telehealth and ‘window visits’ are being set up. Welfare roles have been established in some facilities to focus on maintaining family connections.
Extensive planning and preparations are underway in community aged care services. Group respite programs are cancelled and are starting to do one on one visits to people’s homes. Personal protective equipment is limited, particularly Commonwealth Home Support Programme services such as transport, new approaches to service are being considered.
Some community services are struggling to provide their standard services. Reasons are diverse, including supplies of PPE. Of note are transport services and smaller programs whose infection prevention and control understanding may need support. A toolbox of resources is currently being sourced by NCPHN to assist these programs. Transport meetings are being negotiated in NNSW with social sector support services.
Extensive planning and preparations are underway in the local health districts including a range of activities to support residential aged care facilities to keep residents at home. See ‘Secondary triage system for residential aged care‘ below.
MNCLHD has developed a listing of services and providers offering support and shopping for older people. A similar list is being built in NNSW by Social Futures. Links will be published as they become available.
Palliative Care – both LHD’s services are keen to support GPs with any complex cases during this time, in particular end stage respiratory distress with COVID-19. MNCLHD is setting up a palliative care hotline – more as this becomes available.